Nicholas D'Angelo, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME121379 Issued in FL

Practice address

18610 NW 87TH Ave
Hialeah, FL 33015-3518

Phone

(184) 466-5482

Fax

(186) 692-0058

NPI assigned

Mar 25, 2012

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Memorial Family Practice Associates, LLCGroup PAC ID 8820003411, 50 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nicholas.dangelo@hca5.eclinicaldirectplus.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Memorial Family Practice Associates, LLC

  • Family Medicine Physician
  • Jacksonville, FL
  • NPI 1598869844
  Medicare reassignment Care Compare group NPD
• Trenton Medical Center Inc

  dba Palms Medical Group

  • Federally Qualified Health Center (FQHC)
  • Trenton, FL
  • NPI 1801826268
  Medicare reassignment NPD
• Trenton Medical Center, Inc.

  dba Palms Medical Group

  • Federally Qualified Health Center (FQHC)
  • Fleming Island, FL
  • NPI 1275220238
  NPD
• Trenton Medical Center, Inc.

  dba Palms Medical Group

  • Federally Qualified Health Center (FQHC)
  • High Springs, FL
  • NPI 1588086060
  NPD
• Memorial Family Practice Associates LLC

  dba Jacksonville Family Practice Associates

  • Family Medicine Physician
  • Jacksonville, FL
  • NPI 1851333108
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1332633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467158400000",
    "number": "1689940595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18610 NW 87TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330153518",
            "telephone_number": "184-466-5482",
            "fax_number": "186-692-0058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18610 NW 87TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330153518",
            "telephone_number": "184-466-5482",
            "fax_number": "186-692-0058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'ANGELO",
        "first_name": "NICHOLAS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-25",
        "last_updated": "2016-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME121379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• D and Y Medical & Rehabilitation Center Inc.
• D-Lux Medical Supplies LLC
• D.D.a. Medical Services Inc
• D.J. Mediacal Center
• Isis Maritza D'Angelo, RN, MBA
• Daniel Martin D'Arbelles, APRN
• Lawrence D'Aries, MD
• D&D Community Center LLC
• D&D Rehab Center, Inc
• D&D Rehab Center, Inc

• Family Medicine Physician in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.